Organization · Type 2 NPI

Reviving Crowns Solutions LLC

Prosthetic/Orthotic Supplier · Lawrenceville, GA

NPI number 1467150110 Active

Practice location

1812 N Brown Rd Ste 30-113
Lawrenceville, GA 30043-1801

Call (770) 580-2380 Map

Fax (770) 628-5144

Mailing address

3379 Peachtree Rd NE Ste 655-S24
Atlanta, GA 30326-1031

Specialties and licenses

Taxonomy	Code	License
Prosthetic/Orthotic Supplier Primary	335E00000X	None listed

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

2 other providers at this address

Other prosthetic/orthotic supplier providers in Lawrenceville

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NPI record

NPI: 1467150110
Entity type: Organization (Type 2)
Issued: Feb 22, 2023
Last updated: Mar 13, 2023
Status: Active

Other names

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Reviving Crowns Solutions · former legal business name
Reviving Crowns Solutions · former legal business name

Authorized official

Marquisha Shankeia General, HAIR LOSS SPECIALIST
Owner
(770) 580-2380

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About NPI 1467150110

Reviving Crowns Solutions LLC's National Provider Identifier is 1467150110, issued on Feb 22, 2023. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Lawrenceville, GA. The record was last updated on Mar 13, 2023.